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Case of the Week 510



What is the most likely diagnosis?

  • 59 year-old female with vague upper abdominal pain



Close-up of Right Upper Quadrant-Conventional Radiograph

  1. Gallstone
  2. Pancreatitis
  3. Hepatic Artery Aneurysm
  4. Chondrosarcoma
  5. Porcelain Gallbladder

Additional Images-Axial, Contrast-enhanced CT of Upper Abdomen

 

Additional Images

 

Axial, Contrast-enhanced CT of Upper Abdomen


Answer:

 

5. Porcelain Gallbladder

 

More (Click Discussion Tab)

 

 

Porcelain Gallbladder

General Considerations

  • Calcification of all or part of the gallbladder wall
  • So named because of its gross appearance (bluish in color) and its similarity to porcelain (brittle in consistency)
  • Incidence:
    • Less than 1% of cholecystectomy patients
    • F:M  5:1

MORE . . .

 


.

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LearningRadiology
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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.